Individual
ANTHONY HENRIQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
164 SUMMIT AVE # C70, PROVIDENCE, RI 02906-2853
(401) 793-4545
(401) 793-7866
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN02313
RI
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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